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1,547 Continuing Care Retirement Communities in the United States

1,547 of the 14,697 Medicare-certified nursing homes in the United States (11%) are CCRC, and all are listed below. 670 of the 1543 graded homes earn an A and 32 earn a D or F. They average 4.46 nursing hours per resident per day, 0.6 hours above the 3.86 for every home in the United States. Goodwin House Alexandria in Alexandria grades highest at A (100 out of 100).

How CCRC homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

4.46

All homes in the United States: 3.86

Better than the local average

Nurse staff turnover

42.4%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

81.3/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

670 grade A, 624 grade B, 217 grade C, 32 grade D,

The best-graded CCRC home in the United States is Goodwin House Alexandria in Alexandria, VA — grade A, 100/100.

Every CCRC nursing home in the United States

Showing 721–740 of 1,547, best-graded first.

B

84/100

Morrisons Cove Home

Martinsburg, PA · Blair County

CMS 5/5 114 beds Non-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
49%
Serious cites
0

Morrisons Cove Home runs more nursing hours per resident than most places, 4.48 a day against a national average of 3.86, and the federal staffing and quality ratings reflect that. The catch is consistency: weekends drop about 14% below the home's own weekday coverage, so a Saturday shift looks noticeably thinner than a Tuesday. Turnover sits at 48.9%, a bit above the national 45.8%, which means new faces cycle through fairly often. The inspection record shows 26 deficiencies, none at the harm or jeopardy level, though one is abuse-related. The most recent inspection was in February 2026, so the picture is current. As a nonprofit with 114 beds, it's stable and well-staffed on paper, with room to tighten weekend coverage and retention.

B

84/100

Embassy Of Park Avenue

Meadville, PA · Crawford County

CMS 4/5 173 beds For-profit Medicaid
Nurse hours
3.62 /day
Staff turnover
26%
Serious cites
0

Embassy Of Park Avenue runs 173 beds in Meadville under for-profit LLC ownership, and its staffing sits at 3.62 nurse hours per resident day, about 6% under the national average of 3.86. Weekends run roughly 5% thinner than weekdays, so coverage dips exactly when families tend to visit. What stands out is retention: 25.8% turnover against a national 45.8% means aides and nurses largely stay put, which matters more for daily care than a single staffing number. The inspection record shows 19 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in December 2025. Quality measures score well; staffing is the weaker pillar.

B

84/100

Ephrata Manor

Ephrata, PA · Lancaster County

CMS 4/5 120 beds Non-profit Medicaid
Nurse hours
4.22 /day
Staff turnover
44%
Serious cites
0

Ephrata Manor runs a nonprofit shop with 120 beds, and its nurse staffing sits at 4.22 hours per resident day, roughly 9% above the national average. Weekends dip about 9% below its own weekday coverage, so if you're visiting on a Saturday, expect a slightly thinner floor than midweek. Staff turnover is 43.5%, just under the national figure, which matters because consistent caregivers know your mother's habits. Inspections in September 2024 turned up 11 deficiencies, one serious enough to involve harm or jeopardy, plus a single fine of $13,845. No abuse findings. The star ratings sit at 4 out of 5 across health, quality, and staffing, solid, not perfect.

B

84/100

Homewood Living Martinsburg, Inc

Martinsburg, PA · Blair County

CMS 4/5 129 beds Non-profit Medicaid
Nurse hours
4.31 /day
Staff turnover
31%
Serious cites
0

Homewood Living Martinsburg runs a nonprofit shop with 129 beds, and the numbers suggest decent day-to-day care. Nurse staffing sits at 4.31 hours per resident day, about 12% above the national average, and weekend coverage dips roughly 11% below its own weekday level, so families should ask how that gap gets managed. Staff turnover lands at 31.4%, well under the national 45.8%, which matters for continuity. On the record: 18 deficiencies, none at harm or jeopardy level, though one is abuse-related and worth a direct question. A December 2025 inspection and 4 out of 5 stars for both health inspections and staffing back up the pattern.

B

84/100

Forestview

Erie, PA · Erie County

CMS 5/5 80 beds Non-profit Medicaid
Nurse hours
3.95 /day
Staff turnover
47%
Serious cites
0

Forestview runs on a nonprofit model with 80 beds in Erie, and the numbers show a home that's mostly steady but not perfect. Nurse staffing sits at 3.95 hours per resident day, just above the national average, though weekends dip about 9% below its own weekday coverage, worth asking about if you're planning visits or worrying about Saturday care. The inspection record is clean where it matters: three total deficiencies, none at the harm level, no abuse citations, and the most recent state visit was in August 2025. Staff turnover lands at 46.8%, right in line with the national rate. The quality measure score is the softer spot here, sitting at three stars against five for inspections and staffing.

B

84/100

Chambers Pointe Health Care Center

Chambersburg, PA · Franklin County

CMS 4/5 50 beds Non-profit Medicaid
Nurse hours
4.81 /day
Staff turnover
59%
Serious cites
0

Chambers Pointe runs a nonprofit home in Chambersburg with 50 certified beds, and its nurse staffing sits about 25% above the national average at 4.81 hours per resident day. Weekends dip roughly 11% below its own weekday levels, and annual turnover hits 58.6% against a national 45.8%, meaning the people delivering that care are cycling through fairly quickly. The inspection record is the harder read: 18 deficiencies, three at harm or jeopardy level, two tied to abuse, and two fines totaling $15,593. A March 2026 inspection is recent. Strong quality measures and above-average staffing sit alongside real regulatory problems here, so weigh both before deciding.

B

84/100

Westminster Health & Rehab Center

Rock Hill, SC · York County

CMS 3/5 11 beds Non-profit
Nurse hours
3.85 /day
Staff turnover
29%
Serious cites
0

Westminster Health & Rehab Center runs just 11 certified beds, which makes it one of the smallest nursing homes you'll find in York County. Nurse staffing sits at 3.85 hours per resident day, essentially matching the national average of 3.86, but weekends run about 26% leaner than weekdays, so coverage dips when families tend to visit. Turnover is the standout: 28.6% against a national average of 45.8%, meaning the aides and nurses caring for residents are more likely to stick around. Against that, the home carries 11 deficiencies with two at harm level and $16,997 in fines; its last inspection was February 2026.

B

84/100

Bethea Baptist Healthcare Center

Darlington, SC · Darlington County

CMS 3/5 88 beds Non-profit Medicaid
Nurse hours
3.82 /day
Staff turnover
45%
Serious cites
0

Bethea Baptist runs on about 3.82 nurse hours per resident per day, a hair under the national figure, and weekends drop roughly 9% below its own weekday staffing. That thin margin is why its staffing rating sits at the low end even though turnover, at 45.2%, is right at the national average. The health inspection record shows nine deficiencies, none involving harm or jeopardy and none abuse-related, with the last inspection dated April 2026. Quality measures score at the top of the scale. Ownership is church-affiliated nonprofit, which often means steadier hands than a chain. The picture here is a home that's clinically solid but stretched on direct care hours, especially on weekends.

B

84/100

Linville Court At The Cascades Verdae

Greenville, SC · Greenville County

CMS 5/5 44 beds For-profit
Nurse hours
5.59 /day
Staff turnover
51%
Serious cites
0

Linville Court At The Cascades Verdae runs 5.59 nurse hours per resident day, roughly 45% above the national average, and weekends dip about 11% below its own weekday staffing. That's a real drop, though the floor stays high enough that it likely matters less than it would at a leaner home. The current record shows two deficiencies, neither at the harm level and none abuse-related, with the last inspection dated April 2026 and a 5/5 inspection rating behind it. Turnover sits at 50.7%, above the 45.8% national average, which is worth asking about directly, who's actually at the bedside, and how long have they been there. It's a for-profit LLC with 44 beds.

B

84/100

Kempton Of Charleston

Charleston, SC · Charleston County

CMS 5/5 23 beds For-profit
Nurse hours
5.04 /day
Staff turnover
65%
Serious cites
0

Kempton Of Charleston runs on a small 23-bed footprint, and the staffing numbers are the strongest part of the story, 5.04 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage dips about 10% below its own weekday level, which is worth asking about if your family visits on Saturdays or Sundays. The concerning figure is turnover: 64.7% annually against a national average of 45.8%, meaning more than half the nursing staff leaves each year even though coverage levels stay high. Inspections are recent (May 2025) with four deficiencies, none at harm or jeopardy level and none abuse-related, plus one fine of $6,032.

B

84/100

The Village At Germantown

Germantown, TN · Shelby County

CMS 3/5 55 beds Non-profit
Nurse hours
7.17 /day
Staff turnover
41%
Serious cites
0

The Village at Germantown runs 7.17 nurse staffing hours per resident day, roughly 86% above the national average, and weekend coverage stays within about 10% of weekday levels, which matters because that's where a lot of homes quietly thin out. But the inspection record is the problem: 16 deficiencies on file, two of them at harm or jeopardy level, and a one-star health inspection rating that pulled the overall grade down despite the five-star staffing mark. Annual turnover sits at 41%, a bit better than the 45.8% national figure. The last inspection was September 2025, so the record is current, and there's one fine totaling $11,196. Plenty of hands, but a documented history of things going wrong.

B

84/100

St Joseph Villa

Salt Lake City, UT · Salt Lake County

CMS 3/5 221 beds For-profit Medicaid
Nurse hours
3.59 /day
Staff turnover
31%
Serious cites
0

St Joseph Villa runs 3.59 nurse hours per resident day, about 7% under the national average, and weekend coverage dips roughly 12% below its own weekday numbers, a pattern families should ask about directly, since needs don't pause on Saturdays. Turnover sits at 31.2%, well below the 45.8% national figure, which suggests a steadier workforce than many for-profit homes of this size. The tradeoff shows up in the inspection record: 14 deficiencies, three at harm or jeopardy level and two abuse-related, with the most recent state visit in July 2024. Its quality and staffing ratings are stronger than its inspection history, so weigh those abuse findings carefully before deciding.

B

84/100

St Camillus Health Center

Wauwatosa, WI · Milwaukee County

CMS 2/5 50 beds Non-profit Medicaid
Nurse hours
4.60 /day
Staff turnover
42%
Serious cites
0

St. Camillus runs a 50-bed nonprofit home in Wauwatosa where the day-to-day staffing is genuinely strong, 4.60 nurse hours per resident day, roughly 19% above the national average, and weekend coverage dips only about 9% below its own weekday level, which is modest by industry standards. Turnover sits at 41.5%, a bit better than the national 45.8%. The trouble shows up on the inspection side: 17 deficiencies on the current record, two of them at harm or jeopardy level and five tied to abuse, with $65,881 in fines and a 2-out-of-5 health inspection rating from CMS. That contrast, high staffing and quality marks against a recent, serious inspection history, is what holds the overall grade down.

B

84/100

San Juan Hills Healthcare Center

San Juan Capistrano, CA · Orange County

CMS 4/5 45 beds For-profit
Nurse hours
5.08 /day
Staff turnover
37%
Serious cites
0

San Juan Hills Healthcare Center runs 45 certified beds in San Juan Capistrano under for-profit LLC ownership, and its staffing is the strongest thing it has going: 5.08 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 11% below its own weekday level, and staff turnover sits at 36.8%, better than the 45.8% national figure, though still meaning more than a third of the workforce leaving each year. The current record shows 64 deficiencies, one of them serious enough to involve harm or jeopardy, with no abuse citations. Inspectors were last on site January 22, 2026, so the picture is recent.

B

84/100

Villages Of Lake Highlands

Dallas, TX · Dallas County

CMS 2/5 126 beds For-profit Medicaid
Nurse hours
4.48 /day
Staff turnover
35%
Serious cites
0

Villages Of Lake Highlands sits in Dallas with 126 certified beds and a corporate for-profit owner. The staffing numbers are the good news: 4.48 nurse hours per resident day, about 16% above the national average, with turnover at 35.4%, well below the 45.8% national figure. Weekends run roughly 10% leaner than weekdays, so coverage does thin out. The inspection record is where it gets harder. Fourteen deficiencies on the current record, five of them at harm or jeopardy level, plus three fines totaling $29,022 and a recent May 2025 inspection. No abuse citations, which matters. The federal quality measure rating of 5/5 contrasts sharply with a 1/5 on health inspections, a gap worth asking the administrator about directly.

B

84/100

Mirador

Corpus Christi, TX · Nueces County

CMS 4/5 41 beds Non-profit
Nurse hours
4.72 /day
Staff turnover
38%
Serious cites
0

Mirador is a 41-bed nonprofit in Corpus Christi, and its nurse staffing runs about 4.72 hours per resident day, roughly 22% above the national average of 3.86. Weekend coverage dips around 15% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 37.5%, better than the 45.8% national figure, and the home earned 4 out of 5 stars on all three CMS measures. What pulls the record down is the inspection history: 18 deficiencies on file, 3 at the harm or jeopardy level, 1 abuse-related, and 2 fines totaling $22,922.

B

83.5/100

Village Care And Rehabilitation Center, The

Westminster, CO · Jefferson County

CMS 4/5 60 beds Non-profit Medicaid
Nurse hours
4.12 /day
Staff turnover
44%
Serious cites
0

The Village Care and Rehabilitation Center in Westminster runs on about 4.12 nurse hours per resident per day, roughly 7% above the national average, and it carries a four-star staffing rating to match. Weekend coverage is the soft spot, about 16% thinner than weekdays, so if your family visits on a Saturday, expect fewer hands on deck. Staff turnover sits at 43.7%, a touch better than the national 45.8%. Inspections in December 2024 turned up 15 deficiencies, one serious enough to involve harm or jeopardy, though none related to abuse. As a church-affiliated nonprofit, it answers to a mission rather than shareholders. Solid, not spotless.

B

83.5/100

Eden Village Care Center

Glen Carbon, IL · Madison County

CMS 5/5 107 beds Non-profit Medicaid
Nurse hours
4.73 /day
Staff turnover
43%
Serious cites
0

Eden Village Care Center runs on a nonprofit model in Glen Carbon with 107 certified beds, and the staffing numbers are the story here: 4.73 nurse hours per resident day, roughly 22% above the national average of 3.86. That's the kind of margin that shows up in daily care, though weekend coverage drops about 19% below its own weekday level, so families should ask how that gap gets managed. Staff turnover sits at 42.5%, a little better than the 45.8% national figure. Ten deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in February 2025.

B

83.5/100

Beacon Hill

Lombard, IL · Du Page County

CMS 5/5 45 beds Non-profit Medicaid
Nurse hours
4.89 /day
Staff turnover
42%
Serious cites
0

Beacon Hill runs 4.89 nurse hours per resident day, roughly 27% above the national average of 3.86, and that shows in its staffing rating. The catch is weekends: coverage drops about 18% below its own weekday level, so care thins out when families tend to visit. Staff turnover sits at 41.9%, a bit better than the 45.8% national figure but still meaning two in five caregivers left within the year. Inspections in July 2025 turned up 22 deficiencies, three serious enough to involve harm or jeopardy, with two fines totaling $30,186. No abuse citations, and this nonprofit's quality measures hold at 4 out of 5.

B

83.5/100

Accura Healthcare Of Ottumwa

Ottumwa, IA · Wapello County

CMS 4/5 60 beds For-profit Medicaid
Nurse hours
3.81 /day
Staff turnover
25%
Serious cites
0

Accura Healthcare of Ottumwa runs 60 certified beds under corporate ownership, and its staffing sits just a hair under the national average at 3.81 hours per resident day. The bigger story is consistency: weekend coverage drops roughly 17% from weekday levels, so families should ask how that gap gets filled. Turnover is the bright spot here, 25.4% against a national average of 45.8% means aides and nurses tend to stay, which matters for familiarity with residents. The current record shows six deficiencies, one serious enough to involve harm or jeopardy, with no abuse citations. Inspectors last visited in September 2025, and the home earned four stars across health inspections, quality measures, and staffing.

Frequently asked questions

How many CCRC nursing homes are there in the United States?
There are 1,547 CCRC Medicare-certified nursing homes in the United States, 11% of the 14,697 nursing homes there.
Are CCRC nursing homes better staffed?
In the United States they average 4.46 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of +0.6 hours. Staff turnover averages 42.4% against 45.8%.
Which CCRC nursing home grades best in the United States?
Goodwin House Alexandria in Alexandria, VA — grade A, 100 out of 100.
Does being CCRC mean a nursing home is safe?
No. Of the 1,543 graded CCRC homes in the United States, 670 grade A and 32 grade D or F.
Do CCRC nursing homes in the United States accept Medicaid?
1,255 of the 1,547 are certified to accept Medicaid. See Medicaid and nursing homes.

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